| Douglas Herbert, D.d.s., Ltd. | |
|
2 Cardinal Park Dr Se Suite 201a Leesburg VA 20175-4448 | |
| (703) 777-8777 | |
| (703) 777-6901 |
| Full Name | Douglas Herbert, D.d.s., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Cardinal Park Dr Se, Leesburg, Virginia |
| Authorized Official Name and Position | Amanda Brown (PRESIDENT) |
| Authorized Official Contact | 7037778777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Herbert, D.d.s., Ltd. 2 Cardinal Park Dr Se Suite 201a Leesburg VA 20175-4448 Ph: (703) 777-8777 | Douglas Herbert, D.d.s., Ltd. 2 Cardinal Park Dr Se Suite 201a Leesburg VA 20175-4448 Ph: (703) 777-8777 |
| NPI Number | 1720124977 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720124977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008867 (Virginia) | Primary |
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